Nursing Assistant Care Basics Chapter 7
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Questions and Answers

What is the term for the first time a nursing assistant meets a new resident?

Admission

What should the NA try to ensure about the resident's impression?

Good impression of her and the facility

What should the NA prepare before the resident arrives?

Room

What should the NA ask the family to find out?

<p>A resident's personal preferences and routines</p> Signup and view all the answers

How should the NA introduce herself?

<p>To the resident and state her position</p> Signup and view all the answers

What name should the NA use to call a resident until told otherwise?

<p>By her formal name</p> Signup and view all the answers

What should the NA try to ensure the new resident feels?

<p>Welcome and wanted</p> Signup and view all the answers

Should the NA rush the process with a new resident?

<p>No</p> Signup and view all the answers

How can the NA help the resident during the admission process?

<p>Explaining daily life in the facility and offering to take the resident on a tour</p> Signup and view all the answers

What legal document must new residents be given?

<p>A copy of their legal rights</p> Signup and view all the answers

What should a resident's personal items be treated as?

<p>Carefully</p> Signup and view all the answers

When should residents be informed of transfers?

<p>As early as possible</p> Signup and view all the answers

What should the nursing assistant do when introducing the resident?

<p>Introduce the resident to everyone in the new area</p> Signup and view all the answers

What does OBRA require regarding resident discharge?

<p>The right to receive advance notice before they are discharged</p> Signup and view all the answers

What is the normal temperature range for the oral method?

<p>97.6-99.6</p> Signup and view all the answers

Which thermometer is used to take a temperature in the ear?

<p>Tympanic thermometer</p> Signup and view all the answers

What is another word for the armpit area when referring to temperature sites?

<p>Axilla</p> Signup and view all the answers

What temperature site is considered to be the most accurate?

<p>Rectum (rectal)</p> Signup and view all the answers

What color is a rectal thermometer usually?

<p>Red</p> Signup and view all the answers

Which pulse is most often used for measuring pulse rate?

<p>Radial pulse</p> Signup and view all the answers

What is the normal pulse rate for adults?

<p>60-100 beats per minute</p> Signup and view all the answers

Breathing air into the lungs is also called what?

<p>Inspiration</p> Signup and view all the answers

Exhaling air out of the lungs is also called what?

<p>Expiration</p> Signup and view all the answers

What is the normal respiration rate for adults?

<p>12-20 breaths per minute</p> Signup and view all the answers

Why is it important for NAs to observe respirations without letting residents know?

<p>People may breathe more quickly if they know they are being observed</p> Signup and view all the answers

What is considered a high blood pressure reading?

<p>145/85</p> Signup and view all the answers

What is the name of the blood pressure cuff used to measure blood pressure?

<p>Sphygmomanometer</p> Signup and view all the answers

The second measurement of blood pressure reflects the phase when the heart relaxes. It is called the ______ phase.

<p>Diastolic</p> Signup and view all the answers

Blood pressure measurements are recorded as ______.

<p>Fractions</p> Signup and view all the answers

In the ______ phase of blood pressure, the heart is at work, contracting and pushing blood from the left ventricle of the heart.

<p>Systolic</p> Signup and view all the answers

What does a pulse oximeter measure?

<p>Blood oxygen level and pulse rate</p> Signup and view all the answers

What is the purpose of restraints?

<p>To restrict voluntary movement or behavior</p> Signup and view all the answers

What is an example of a physical restraint?

<p>Raised side rails on a bed</p> Signup and view all the answers

What is a chemical restraint?

<p>Medication used to control behavior</p> Signup and view all the answers

What is one reason the use of restraints has been restricted?

<p>They were sometimes abused by caregivers</p> Signup and view all the answers

When can a restraint be used?

<p>When a doctor has ordered it</p> Signup and view all the answers

What does restraint-free care mean?

<p>Restraints are never used for any reason</p> Signup and view all the answers

What are restraint alternatives?

<p>Any interventions used in place of a restraint</p> Signup and view all the answers

What are fluids in the context of nursing care?

<p>Liquids that a person drinks, as well as semi-liquid foods such as soup or gelatin</p> Signup and view all the answers

What is the term for the fluid a person consumes?

<p>Intake or input</p> Signup and view all the answers

What does fluid balance refer to?

<p>Taking in and eliminating the same amounts of fluid</p> Signup and view all the answers

What is a hat in nursing care?

<p>Collection container put into the toilet to collect samples</p> Signup and view all the answers

What should not be included with a stool specimen?

<p>Urine and toilet paper</p> Signup and view all the answers

What is a specimen?

<p>A sample that is used for analysis in order to try and make a diagnosis</p> Signup and view all the answers

What is a routine urine specimen?

<p>Urine sample collected any time resident voids</p> Signup and view all the answers

What is a clean-catch specimen?

<p>Excludes first and last urine from sample</p> Signup and view all the answers

When is the best time to collect a sputum specimen?

<p>Early morning</p> Signup and view all the answers

What is a catheter?

<p>Thin tube inserted into the body that is used to drain or inject fluids</p> Signup and view all the answers

What is a condom catheter?

<p>Urinary catheter that has an attachment that fits into the penis</p> Signup and view all the answers

What is an indwelling catheter?

<p>Urinary catheter that stays inside the bladder for a period of time</p> Signup and view all the answers

What is a straight catheter?

<p>Urinary catheter that is removed immediately after urine is drained</p> Signup and view all the answers

What is a urinary catheter?

<p>Thin tube used to drain urine from the bladder</p> Signup and view all the answers

Who prescribes oxygen?

<p>A doctor</p> Signup and view all the answers

When should oxygen be turned off?

<p>In the event of a fire</p> Signup and view all the answers

What should NAs check around oxygen masks and tubing?

<p>For irritation</p> Signup and view all the answers

What do IV lines provide access to?

<p>The bloodstream</p> Signup and view all the answers

What is the NA's responsibility for IV care?

<p>Documenting and reporting observations</p> Signup and view all the answers

What should the NA do if the fluid in an IV bag is nearly gone?

<p>Notify the nurse</p> Signup and view all the answers

How should a resident's room be treated?

<p>With respect</p> Signup and view all the answers

What must call lights always be?

<p>Answered quickly</p> Signup and view all the answers

What right do residents have regarding their privacy?

<p>Privacy protected when receiving care</p> Signup and view all the answers

What should an NA do if asked to use equipment they do not know how to use?

<p>Ask for help</p> Signup and view all the answers

Where should call lights be placed?

<p>Within the resident's reach</p> Signup and view all the answers

Why is it important for NAs to change bed linen often?

<p>To prevent infection and to promote comfort</p> Signup and view all the answers

Why should soiled bed linen be carried away from the NA's body?

<p>To prevent contamination of clothing</p> Signup and view all the answers

When removing dirty linen, how should the NA do it?

<p>Roll it so that the soiled area is inside</p> Signup and view all the answers

When a resident cannot get out of bed, what should be done before making the bed?

<p>The bed should be raised to a safe height</p> Signup and view all the answers

Where should soiled linen be bagged?

<p>At the point of origin</p> Signup and view all the answers

What is a bed made with the bedspread and blankets in place called?

<p>Closed bed</p> Signup and view all the answers

What do sterile dressings cover?

<p>Open or draining wounds</p> Signup and view all the answers

Who changes sterile dressings?

<p>Nurse</p> Signup and view all the answers

Non-sterile dressings are applied to dry, ______ wounds that have less chance of ______ infection.

<p>Closed; infection</p> Signup and view all the answers

What may nursing assistants be able to do to non-sterile dressings?

<p>Change</p> Signup and view all the answers

What are elastic bandages also known as?

<p>ACE Bandages</p> Signup and view all the answers

What is one purpose of elastic bandages?

<p>Hold a dressing in place</p> Signup and view all the answers

How soon should an NA check on a resident after applying a bandage?

<p>15 minutes</p> Signup and view all the answers

Study Notes

Admission and Introduction

  • Admission marks the initial meeting between a nursing assistant (NA) and a new resident.
  • It is crucial for the NA to create a positive impression of themselves and the facility.
  • Preparing the resident's room in advance enhances the welcome experience.
  • Gathering personal preferences and routines from the family aids in providing personalized care.
  • The NA should introduce themselves and their role to the resident upon arrival.

Resident Interaction and Rights

  • Formal names should be used to address residents until preferences are communicated.
  • Ensuring residents feel welcome and valued is important for their adjustment.
  • The NA must not rush residents during the admission process to promote comfort.
  • Explanation of daily activities and facility tours are helpful for new residents.
  • Residents must receive a copy of their legal rights upon admission.
  • Personal items brought by residents should be treated with care.
  • Early notification of transfers is essential for resident awareness.
  • OBRA mandates advance notice for discharge notifications.

Temperature and Vital Signs

  • Normal oral temperature range is 97.6-99.6°F.
  • Tympanic thermometers measure ear temperature; axilla refers to the armpit area.
  • Rectal temperature is the most accurate form of assessment.
  • A red color-coded thermometer indicates rectal use; radial pulse is commonly used for pulse measurement.
  • Normal adult pulse rate is 60-100 beats per minute.

Respiratory and Blood Pressure Monitoring

  • Inspiration refers to taking air into the lungs; expiration refers to exhaling.
  • Normal respiration rate for adults is 12-20 breaths per minute; observation should be discreet to ensure accurate readings.
  • High blood pressure is indicated by readings above 145/85; measurements are noted as fractions.
  • Sphygmomanometer is utilized for blood pressure measurement; systolic phase shows heart contraction, while diastolic reflects relaxation.

Restraints and Alternatives

  • Restraints restrict voluntary movement and behavior; physical examples include raised side rails.
  • Chemical restraints involve medication for behavior control; use is restricted due to potential abuse.
  • A doctor’s order is required for restraint use; restraint-free care means no restraints are used.
  • Restraint alternatives are strategies implemented instead of applying restraints.

Fluid and Specimen Management

  • Fluid intake includes liquids and semi-liquid foods; balance involves equitable fluid intake and output.
  • A hat is a sample collection container used during urination.
  • Stool specimens must exclude urine and toilet paper; specimens are used for diagnostic analysis.
  • Routine urine specimens are collected at any voiding; clean-catch specimens avoid initial and final urine.
  • Sputum specimens are ideally collected in the early morning.

Catheter Types and Care

  • Catheters are tubes for draining or injecting fluids; condom catheters fit onto the penis.
  • Indwelling catheters remain in the bladder, while straight catheters are used temporarily.
  • Oxygen is prescribed by healthcare professionals and needs to be turned off during a fire; skin irritation around oxygen equipment should be monitored.

IV Care and Resident Comfort

  • IV lines provide direct bloodstream access; NAs must document and report observations.
  • Notify the nurse if IV fluid levels are low; respect for residents' rooms as personal spaces is essential.
  • Call lights should always be within reach and answered promptly to ensure resident comfort and safety.
  • Privacy during care is a legal right for residents.

Linen Management and Wound Care

  • Frequent linen changes prevent infection; soiled linen should be handled properly to avoid contamination.
  • Dirty linen removal should roll soiled areas inward; beds must be raised to a safe height when making.
  • Closed beds refer to those made with linens and bedspreads still in place.
  • Sterile dressings cover wounds; only nurses change sterile dressings, while NAs may change non-sterile ones.
  • Elastic bandages, known as ACE Bandages, help hold dressings in position; check on residents after applying bandages within 15 minutes.

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Description

Test your understanding of basic nursing skills related to resident admission and preparation with these flashcards. This quiz covers key concepts from Chapter 7 of Hartmann's 'Nursing Assistant Care The Basics'. Perfect for nursing students or assistants needing a refresher.

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